SYLLABUS
HOSPITAL AND CLINICAL PHARMACY
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Chapter-1
Hospital Pharmacy
- Definition, scope, national and international scenario
- Organisational structure
- Professional responsibilities, Qualification and experience requirements, job specifications, work load requirements and inter professional relationships
- Good Pharmacy Practice (GPP) in hospital
- Hospital Pharmacy Standards (FIP Basel Statements, AHSP)
- Introduction to NABH Accreditation and Role of Pharmacists
Chapter-2
Different Committees in the Hospital
- Pharmacy and Therapeutics Committee – Objectives, Composition and functions
- Hospital Formulary -Definition, procedure for development and use of hospital formulary
- Infection Control Committee – Role of Pharmacist in preventing Antimicrobial Resistance
Chapter-3
Supply Chain and Inventory Control
- Preparation of Drug lists – High Risk drugs, Emergency drugs, Schedule H1 drugs, NDPS drugs, reserved antibiotics
- Procedures of Drug Purchases – Drug selection, short term, long term and tender/e-tender process, quotations, etc.
- Inventory control techniques: Economic Order Quantity, Reorder Quantity Level, Inventory Turnover etc.
- Inventory Management of Central Drug Store – Storage conditions, Methods of storage, Distribution, Maintaining Cold Chain, Devices used for cold storage (Refrigerator, ILR, Walk-in-Cold rooms) FEFO, FIFO methodse
- Expiry drug removal and their disposal methods e.g., Narcotics
- Documentation – purchase and inventory.
Chapter-4
Drug distribution
- Drug distribution (in- patients and out – patients) – Definition, advantages and disadvantages of
individual prescription order method, Floor Stock Method, Unit Dose Drug Distribution Method, Drug
Basket Method. - Distribution of drugs to ICCU/ICU/NICU/Emergency wards.
- Automated drug dispensing systems and devices
- Distribution of Narcotic and Psychotropic substances and their storage
Chapter-5
Compounding in Hospitals.
Bulk compounding, IV admixture services and incompatibilities, Total parenteral nutrition
Chapter-6
Radio Pharmaceuticals – Storage, dispensing and disposal of radiopharmaceuticals
Chapter-7
Application of computers in Hospital Pharmacy Practice, Electronic health records, Softwares used in hospital pharmacy
Chapter-8
Clinical Pharmacy
Clinical Pharmacy: Definition, scope and development – in India and other countries, Technical definitions, common terminologies used in clinical settings and their significance such as Paediatrics, Geriatric, Antenatal Care, Post-natal Care, etc.
Daily activities of clinical pharmacists: Definition, goal and procedure of
- Ward round participation
- Treatment Chart Review
- Adverse drug reaction monitoring
- Drug information and poisons information
- Medication history
- Patient counselling
- Interprofessional collaboration
Pharmaceutical care: Definition, classification of drug related problems. Principles and procedure to provide pharmaceutical care Medication Therapy Management, Home Medication Review
Chapter-9
Clinical laboratory tests used in the evaluation of disease states – significance and interpretation of test results
- Haematological, Liver function, Renal function,
thyroid function tests - Tests associated with cardiac disorders
- Fluid and electrolyte balance
- Pulmonary Function Tests
Chapter-10
Poisoning: Types of poisoning: Clinical manifestations and Antidotes
Drugs and Poison Information Centre and their services – Definition, Requirements, Information resources with examples, and their advantages and disadvantages
Chapter-11
Pharmacovigilance: Definition, aim and scope
Overview of Pharmacovigilance
Chapter-12
- Medication errors: Definition, types, consequences, and strategies to minimize medication errors, LASA drugs and Tallman lettering as per ISMP
- Drug Interactions: Definition, types, clinical significance of drug interactions